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埃博拉疫情的公众话语与礼貌污名:从西非埃博拉疫情区返回家园的国际医护人员面临的真实风险?

Public Discourses of Ebola Contagion and Courtesy Stigma: The Real Risk to International Health Care Workers Returning Home From the West Africa Ebola Outbreak?

机构信息

1 School of Health and Related Research, University of Sheffield, Sheffield, United Kingdom.

2 Department of Public Health, University of Copenhagen, Copenhagen, Denmark.

出版信息

Qual Health Res. 2018 Jul;28(9):1499-1508. doi: 10.1177/1049732318759936. Epub 2018 Feb 27.

Abstract

This article explores the homecoming experiences of international health care workers who responded to the 2014 to 2016 West African Ebola outbreak. Interviews with 11 frontline international medical staff were undertaken and data thematically analyzed. It was found that international health care workers faced an unforeseen risk of stigmatization upon their return home, related to others' fears of their infectious status. Media representations of the disease appear to have played a significant role in heightening societal perceptions of the risks associated with the returning health care workers, resulting in public hostility toward them. For participants, these social risks overtook concerns about biological risks during the immediate postmission period. The participants developed different strategies to cope with courtesy stigma, by rationalizing stigmatizing attitudes, educating people, or simply through an avoidance of others.

摘要

本文探讨了应对 2014 年至 2016 年西非埃博拉疫情的国际医护人员的归国经历。对 11 名一线国际医务人员进行了访谈,并对数据进行了主题分析。研究发现,国际医护人员回国后面临着意想不到的污名化风险,这与他人对他们感染状况的恐惧有关。媒体对该疾病的描述似乎在加剧社会对归国医护人员所涉风险的认知方面发挥了重要作用,导致公众对他们怀有敌意。对参与者来说,这些社会风险超过了他们对归国后生物风险的担忧。参与者通过合理化污名化态度、教育他人或干脆避免与他人接触,采取了不同的策略来应对礼貌性污名。

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